Nail Psoriasis Triggered by the Reconstruction of Syndactyly

Document Type : CASE REPORT

Authors

Department of Orthopedics Surgery, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran

Abstract

 
Koebner phenomenon is observed in a number of inflammatory skin diseases. Psoriasis is one of the most common skin diseases associated with Koebner phenomenon. Nail psoriasis may be developed independently from inflammatory arthritis and skin psoriasis. This study reports on the reconstruction of third web of a 30-year-old woman, which performed on her right, due to congenital syndactyly. Four months postoperatively, she developed nail dystrophy, onycholysis and onychorrhexis of the middle, ring and little fingernails. The clinical and histopathology findings were compatible with diagnosis of isolated nail psoriasis.

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1. Pasch MC. Nail Psoriasis: A Review of Treatment
Options. Drugs. 2016; 76 (6): 675-705.
2. Weiss G, Shemer A, Trau H. The Koebner phenomenon:
review of the literature. J Eur Acad Dermatol Venereol
2002; 16 (3): 241-8.
3. Arias-Santiago S, Espiñeira-Carmona MJ, Aneiros-
Fernández J. The Koebner phenomenon: psoriasis in
tattoos. CMAJ. 2013; 185 (7): 585.
4. Dogra A, Arora AK. Nail psoriasis: the journey so far.
Indian J Dermatol. 2014; 59(4): 319-33.
5. Schons KR, Knob CF, Murussi N, et al. Nail psoriasis:
a review of the literature. An Bras Dermatol. 2014;
89(2): 312-7.
6. Orzan OA, Popa LG, Vexler ES, Olaru I, Voiculescu VM,
Bumbăcea RS. Tattoo-induced psoriasis. J Med Life.
2014; 7(2): 65-8.
7. Ghorpade A. Tattoo-induced psoriasis. Int J Dermatol.
2015; 54(10): 1180-2.
8. Alolabi N, White CP, Cin AD. The Koebner phenomenon
and breast reconstruction: Psoriasis eruption along the
surgical incision. Can J Plast Surg. 2011; 19(4): 143-4.
9. Bernstein EF, Kantor GR. Treatment-resistant
psoriasis due to a mastectomy sleeve: An extensive
Koebner response. Cutis 1992; 50(1): 65-7.
10. Ryan GM. Psoriatic arthritis and Koebner phenomenon.
J Hand Surg Am. 1991; 16(1): 180-1.